Individual
DR. ELIZABETH MICKELSEN KURCZYNSKI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
830 PENNSYLVANIA AVE, SUITE 104, CHARLESTON, WV 25302-3302
(304) 388-1559
(304) 388-1577
Mailing address
830 PENNSYLVANIA AVE, SUITE 104, CHARLESTON, WV 25302-3302
(304) 388-1559
(304) 388-1577
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
18874
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0079807000
—
WV
Enumeration date
04/07/2006
Last updated
07/08/2007
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